# WAL-MART STORES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vision Center 30-2596
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184714321
- **Authorized official:** HOLLY C WILKINSON (NPI COORDINATOR)
- **Authorized official phone:** (479) 204-8320

## Contact information

- **Practice address:** 2301 FREEWAY DRIVE, MOUNT VERNON, WA 98273
- **Practice address phone:** (360) 428-7000
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 09/09/2009